| NPI | 1386450690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACPUELINE ZAVALA Clinical And Administrative Site Su 323-381-2931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |